Upcoming GP orientation session, open to existing ANSC GPs
The RPA Women and Babies/Canterbury Hospital ANSC Orientation Session will provide an overview of the ANSC program, GP responsibilities and education requirements, and information on where to access clinical information and support including details on SLHD midwifery services and referral pathways. This session will also include details about the new SLHD Maternity, Gynaecology and Fertility e-referral system.
The webinar is open to existing RPA/Canterbury ANSC GPs as a refresher training session. GPs will accrue 3 ANSC CPD points for attending this session.
The session is scheduled for Thursday October 20th, 7-8:30pm. Register via this link.
Discharge summaries on MyHealthRecord
ANSC GPs are reminded that hospital discharge summaries are available via their patient’s MyHealthRecord. This includes ED presentations, EPAS admissions and well as postnatal discharge summaries. Summaries are uploaded to MyHealthRecord within 24 hours of discharge.
If you are having trouble accessing discharge summaries, please contact the GP Shared Care Midwife Melanie Tulloch on 0425 230 662 (Monday to Friday 8am-4:30pm).
Filling out the yellow card antenatal record
Please encourage women to bring their yellow card to all ANSC GP and hospital appointments.
At each GP visit, document key clinical information on the yellow card including BP, fundal height, fetal movement, fetal heart rate and any other relevant information including results and pathology tests ordered.
HealthLink Smartform E-Referral to RPAH Women and Babies Services
GPs are now able to use HealthLink SmartForms from their practice software or the HealthLink portal to launch e-Referrals to the following services:
For GPs without Best Practice, Genie or Medical Director practice systems, referrals can be lodged using the HealthLink portal, or via fax using the new fax coversheet which enables digitisation of your faxed referral.
In addition to results being sent via Healthlink with referral forms, GPs are encouraged to email results to patients so they can bring them to all hospital appointments.
Case Study: Pre-Conception Planning in T2DM
Alice is a 33-year-old female who presents to her general practitioner seeking advice on pre-conception planning. She has already been known to have T2DM for 7 years and her HbA1c is 8.7%. Her current management includes Metformin 1g PO daily and Semaglutide (Ozempic) SC 0.5mg weekly. What are the risks for pregnancies in women with T2D?
Canterbury Hospital Hypertensive/Renal Disorders of Pregnancy Clinic now accepting GP referrals
Canterbury Hospital Maternity has a Hypertensive/Renal Disorders of Pregnancy (HDP) Clinic, run by renal physicians Dr Lucy Wynter and A/Prof Adrian Gillin. The clinic runs weekly on a Friday afternoon in the antenatal clinic area of Canterbury Hospital.
The HDP clinic welcomes referrals from all community settings. Please fax all non-urgent referrals to 9787 0431. Urgent referrals should be discussed with the Birth Unit Obstetric Registrar as per current protocols.
HDP Clinic Referral Criteria
Pregnant women (preferably prior to 16 weeks) with:
preeclampsia in a previous pregnancy
any renal disease including Chronic Kidney Disease (CKD) (with the exception of Transplant patients who should continue to see their transplant physician)
with preeclampsia, gestational hypertension or elevated blood pressure (>140/90) on any antihypertensive medications
Postpartum women who:
had difficult to control hypertension during pregnancy
had preeclampsia during pregnancy (up to max 12 weeks postpartum)
have persistent renal abnormalities (e.g proteinuria, recurrent UTIs or pyuria)
had hypertension or preeclampsia who were transferred to or delivered at RPAH but are local to the Canterbury area and would prefer to return
Women planning pregnancy who have:
a history of preeclampsia or hypertension
a history of any renal disease
Information about referral to the clinic will soon be available on HealthPathways and the CESPHN website.
If you require further information or assistance with referrals, please contact the GP Shared Care Midwife Melanie Tulloch on 0425 230 662 (Monday to Friday 8am-4:30pm).
SLHD Parent Education Sessions SLHD Parent Education offers a wide variety of information sessions for expectant and new families.
The Early Pregnancy session covers what to expect in early pregnancy, staying healthy, models of care, useful resources and services available within the district. An experienced midwife is available to answer your questions. Suitable from 6 weeks.
The Changing Shape session provides information for pregnant women about their changing body, back and pelvic floor care and exercises. An experienced Women’s Health Physiotherapist is available to answer your questions, as well as how to manage common pregnancy ailments. Suitable from 12 weeks.
CPR Kids involves experienced paediatric nurses provide CPR and first aid training for families of children aged 0-8 years. All sessions are currently run via ZOOM.
Birth Course online course and research has started at RPA
Birth Course is an evidence-based antenatal education program that incorporates information about physiological birth process, and how these are supported with complementary therapy techniques, working within the hospital system. The complementary therapy techniques taught in BirthCourse include acupressure, movement and upright positions, massage, breathing and relaxation techniques and guided visualisation. There is also an emphasis on birth partner participation and support during the course.
The main aims of the program are to; i) provide knowledge and understanding (of normal physiological/hormonal birth) and common occurrences during labour, ii) create a positive mindset (building confidence for women and their partners through psychological preparation), and iii) providing non-pharmacological techniques for pain relief (through evidence-based tools and techniques for use during labour and birth).
In a pilot randomised study, outcomes comparing the study group who attended BirthCourse (called Complete Birth then), in addition to usual care, showed a signification reduction in rates of epidurals (65% reduction) and caesarean section (44% reduction) compared to a control group who attended usual care alone, including usual antenatal education.
The Birth Course program is now part of a larger prospective meta-analysis to further assess clinical effectiveness, quantify resource use and establish cost-effectiveness.
This free online course is in addition to the courses offered by SLHD Parent Education and does not replace them. Please scan the QR code on the flyer to gain more information and check eligibility.
First Trimester Screen available at RPA Fetal Medicine Unit
GPs can refer women to receive the combined First Trimester Screen (nuchal translucency/fetal anatomy ultrasound and pre-eclampsia screen at 11+0-13+6 weeks gestation) at the RPA Fetal Medicine Unit. This service is bulk-billed for patients with Medicare. Pre-eclampsia screening alone is available for women who do not want aneuploidy screening. Women who screen as high risk for early onset pre-eclampsia (>1 in 100) are advised to start low dose aspirin. Referral information is available on the Preconception and Pregnancy Assessment Services HealthPathway.
Please note that the NIPT is not a replacement for the First Trimester Screen. Women are advised to attend a First Trimester Screen even if they have already returned a low risk NIPT result. Please see the Screening for Fetal Chromosomal Conditions HealthPathway for further information.
Dr Ritu Mogra and Dr Jose Flores from the RPA Fetal Medicine Unit recently provided an ANSC Obstetrics Update on First Trimester Screening and non-invasive prenatal testing (NIPT). A recording of this session is available on the CESPHN YouTube channel.
Welcome to our new website! As you may have noticed, our website looks different. Central and Eastern Sydney PHN have moved to a new site and although much has remained the same, we have introduced some new functions. These include: Updated navigation When you land on our new website, you…
Immunisation weekly update – 8 February 2023 HPV vaccination now single dose on NIP Changes from 6 February 2023 to human papillomavirus vaccination (Gardasil®9) dose schedule under the National Immunisation Program: Routine schedule for people aged 12 to 13 years will change to a single dose (previously a 2 dose…
Sydney World Pride 2023 – General Practice Support CESPHN is a proud supporter of the Sydney WorldPride 2023 that is occurring from 17 February to 5 March 2023. To assist people to get the right care and avoid unnecessary presentations to emergency departments, we are encouraging general practices to review…
COVID-19 weekly update – 08 JANUARY 2023 ATAGI 2023 Booster Advice The Australian Technical Advisory Group on Immunisation (ATAGI) have updated their recommendations on the use of booster doses of COVID-19 vaccine in 2023. ATAGI recommends a 2023 COVID-19 vaccine booster dose for adults in the following groups, if their…
MEDIA RELEASE: Canterbury Head to Health service opens doors to offer free, immediate mental health support. Canterbury Head to Health opened its doors in late January, offering free and immediate support for anyone in Canterbury and the surrounding regions experiencing distress or mental health concerns.Trained professionals are providing short to…
CESPHN Vax at Home service The CESPHN Vax at Home Service is for those people who are housebound and not able to leave their house to receive a COVID-19 vaccination or booster. The service will accept referrals for people 16 years and over. Referrals will be accepted from GPs and…
IAR-DST Training resumes today The implementation of the Initial Assessment and Referral Decision Support Tool (IAR-DST) training is gaining momentum both within CESPHN and nationally. National GP training numbers are closing in on 300 and over 50 of these have been trained by CESPHN. This year we are excited to…